Individual
MISS JAMIE A GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 WW II MEMORIAL DR, WINFIELD, KS 67156
(620) 221-9479
Mailing address
5531 S MOSLEY ST, WICHITA, KS 67216-3631
(816) 585-5956
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01357
KS
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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